Öğrenci Ahmet, Koban Orkun, Yaman Onur, Dalbayrak Sedat, Yılmaz Mesut
Neurospinal Academy, Neurosurgery, Istanbul, Turkey.
Koc Universitesi Tip Fakultesi, Neurosurgery, Istanbul, Turkey.
Open Access Maced J Med Sci. 2018 Mar 3;6(3):467-471. doi: 10.3889/oamjms.2018.107. eCollection 2018 Mar 15.
There is a need for cervical flexion and even cervical hyperflexion for the use of technological devices, especially mobile phones. We investigated the effect of this use on the cervical lordosis angle.
A group of 156 patients who applied with only neck pain between 2013-2016 and had no additional problems were included. Patients are specifically questioned about mobile phone, tablet, and other devices usage. The value obtained by multiplying the year of usage and the average usage (hour) in daily life was determined as the total usage value (an average hour per day x year: hy). Cervical lordosis angles were statistically compared with the total time of use.
In the general ROC analysis, the cut-off value was found to be 20.5 hy. When the cut-off value is tested, the overall accuracy is very good with 72.4%. The true estimate of true risk and non-risk is quite high. The ROC analysis is statistically significant.
The use of computing devices, especially mobile telephones, and the increase in the flexion of the cervical spine indicate that cervical vertebral problems will increase even in younger people in future. Also, to using with attention at this point, ergonomic devices must also be developed.
使用科技设备,尤其是手机时,需要颈部前屈,甚至颈部过度前屈。我们研究了这种使用方式对颈椎前凸角的影响。
纳入一组在2013年至2016年间仅因颈部疼痛就诊且无其他问题的156例患者。对患者专门询问了手机、平板电脑及其他设备的使用情况。将使用年限与日常生活中的平均使用时长(小时)相乘得到的值确定为总使用值(每天平均小时数×年数:hy)。将颈椎前凸角与总使用时间进行统计学比较。
在一般的ROC分析中,发现临界值为20.5 hy。当对临界值进行测试时,总体准确率为72.4%,非常好。对真实风险和无风险的真实估计相当高。ROC分析具有统计学意义。
计算设备,尤其是手机的使用,以及颈椎前屈的增加表明,未来即使在年轻人中颈椎问题也会增加。此外,在这一点上要注意使用,还必须开发符合人体工程学的设备。